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Individual

DR. SAMUEL J. MARGIOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13005 SOUTHERN BLVD, SUITE 231, LOXAHATCHEE, FL 33470-9206
(561) 784-7000
(561) 784-1199
Mailing address
13005 SOUTHERN BLVD, SUITE 231, LOXAHATCHEE, FL 33470-9206
(561) 784-7000
(561) 784-1199

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME45302
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
048252800
DC
01
05672
BLUE SHIELD
FL
Enumeration date
10/18/2006
Last updated
07/09/2007
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